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NPI Code Detail

MEDICARE: NELLIE REEDY

MEDICARE: NELLIE REEDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1861342966
Entity Type Code : Individual
Provider Name (Legal Business Name) : NELLIE REEDY
Provider Business Mailing Address
First Line : 85 CHESTERS HILL CT
Second Line :
City : HENDERSON
State : NV
Zip : 89002-0519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4455 ALLEN LN STE 130
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-2208
Country : US
Telephone Number : 702-385-1072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ NELLIE REEDY ” Practice Location

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